程序、优选和决策:美国俄勒冈州药品报销目录制定方式

Procedure,Priority and Decision-making:Establishment Mechanism of Pharmaceutical Formulary List in Oregon,USA

依照居民和社会对卫生服务的偏好,将药品和治疗方案按照不同的优先级别进行排序,从而决定进入目录内名单是俄勒冈州药品报销目录制定的主要特点。在报销目录制定程序中,采用电话访问以及召开社区会议和听证会的形式,积极采纳居民的意见,确保药品目录符合患者需求。当优选完成后,对药品报销目录政策按照一定的周期,进行重新审核和进一步调整,使其适应医学技术的发展与疾病谱的变化。

The state of Oregon in USA, in what has become known as the Oregon Plan, created what has been recognized as one of the most comprehensive approaches to an explicit rationing of heath care based on study of public rankings of the importance of different pharmaceuticals and health care procedures. In the process of formulary decision making, the Oregon laid out a solid ground work for new attempt at concentrating on what the residents really need by using the telephone survey, holding community meetings as well as public hearings. There is a requirement to keep the formulary under review in order to assure the health care procedures updated.